Caregiver burden in end-of-life care: advanced cancer and final stage of dementia

Palliat Support Care. 2015 Jun;13(3):583-9. doi: 10.1017/S1478951513001259. Epub 2014 Mar 10.

Abstract

Objective: Considering two advanced illnesses, cancer and end-stage dementia, the aim of this study was to describe the symptoms of caregiver psychological distress and burden.

Method: In this cross-sectional study, regression analyses were calculated to explain the influence of psychological distress in caregiver burden. A t test was employed to compare differences between the symptoms of caregiver burden.

Results: The percentage of psychological distress was similar between caregivers of cancer patients (77.6%) and caregivers of dementia patients (72.4%). In the regression analysis, cancer caregiver distress accounted for 27.9% of the variance in symptoms of burden, while dementia caregiver distress accounted for 24.4% of the variance in symptoms of burden. No significant differences were revealed when comparing caregiver burden symptoms between caregivers of the two advanced illnesses (t = 0.06; p = 0.94).

Significance of results: In end-of-life care for patients with dementia, due to significant levels of caregiver distress and burden symptoms, there is a need to support caregivers in the same way as is done for caregivers of cancer patients.

Keywords: Advanced cancer; Caregiver burden; Caregiver distress; Dementia; Palliative care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Caregivers / psychology*
  • Cost of Illness*
  • Cross-Sectional Studies
  • Dementia / complications*
  • Dementia / therapy
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / complications*
  • Neoplasms / therapy
  • Palliative Care / psychology*
  • Stress, Psychological